Individual
MARIA MERCEDES MITHLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8148 STATE HIGHWAY 17, ELGIN, OK 73538-9010
(580) 454-2273
Mailing address
8148 STATE HIGHWAY 17, ELGIN, OK 73538-9010
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21319
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220880A
—
OK
Enumeration date
10/03/2006
Last updated
03/17/2023
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